Organization Active NPI

Jennifer J. Dotterweich, OD, PLLC

  • Optometrist
  • Avon, NY
National Provider Identifier
1659569606
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006150-1 Issued in NY
Legal business name
JENNIFER J. DOTTERWEICH, OD, PLLC
Practice address
243 E Main St
Avon, NY 14414-1421
Phone
(585) 519-4208
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer J Dotterweich, ODNPI 1194784694
Title
Optometrist
Phone
(585) 519-4208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT006150-1 NY Primary

Addresses

Primary practice location

243 E Main St
Avon, NY 14414-1421

Mailing address

243 E Main St
Avon, NY 14414-1421
Phone (585) 519-4208

National Provider Directory

National Provider Directory

Locations

243 E Main St
Avon, NY 14414
Phone (585) 226-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1659569606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 E MAIN ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141421",
            "telephone_number": "585-519-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E MAIN ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141421",
            "telephone_number": "585-519-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER J. DOTTERWEICH, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "DOTTERWEICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "585-519-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006150-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.